원저

기도이물에 대한 임상적 고찰

박래성1, 이인자1, 장기홍1, 여상원1, 김병우1
Rae Sung Park1, In Ja Lee1, Ki Hong Chang1, Sang Won Yeo1, Byung Woo Kim1
Author Information & Copyright
1카톨릭의과대학 이비인후과학교실
1Department of Otolaryngology, Catholic University Medical College

© Copyright 1990 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Published Online: May 31, 2020

ABSTRACT

We analysed 31 cases of bronchial foreign body patients who visited ENT department, Catholic Medical Center from January 1984 to December 1989.

The results were as follow

  1. Among 31 cases, males were 24 and females were 7, and 21 of the total patients were under the age of 2 years (67.7%).

  2. The locations of foreign bodies were left main bronchus in 19 cases, right main bronchus in 14 cases and bilateral in only 1 case.

  3. The kinds of foreign bodies were plants such as peanuts or nuts in 21 cases (67.7%) and metals in 3 cases (9.7%).

  4. In duration of lodgement, it was within 24 hours in 9 cases, over 4 days in 15 cases and over 3 months in 1 case.

  5. In mode of treatment, there were bronchoscopic removal in 28 cases, lobectomy in 1 case and spontaneous removal by coughing in 2 cases.

  6. In complications,there were 7 cases of pneumonia and 2 cases of laryngeal edema, but one case died because of pulmonary edema after bronchoscopy.



37권 2호 Quiz 및 정답, 해설

정답 ③ ㄴ,ㄹ

ㄱ. 갑상선 고주파는 전극 주변에 고주파 전류가 흐르면서 조직내 이온들을 빠르게 진동시키고 
이렇게 발생한 마찰열(friction heat)을 통해 섭씨 60~100도씨의 열을 발생시켜 조직의 응고 괴사를 유도한다.

ㄴ. 생리식염수는 Na+,Cl-를 포함하여 전기전도성이 높아 5% DW 같은 비이온성 용액을 이용하는 것이 좋다.

ㄷ. 관련된 흔한 합병증은 통증, 혈종, 일시적 음성변화로 알려져 있다.

ㄹ. 갑상선 고주파절제술은 정상 갑상선조직을 최대한 보존하면서 양성결절의 부피감소를 유도하고, 
미세유두암의 완전 소실을 유도할 수 있는 치료이다.

 

* 당첨자 (5명)

권**    010-****-**85

고**    010-****-**75

서**    010-****-**72

이**    010-****-**61

장**    010-****-**64

 

응모해 주신 모든분들께 감사드립니다.

경품은 당첨자분들께 8.21(금)까지 개별 발송해 드리겠습니다.

 

임상이비인후과 편집위원회 


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